Trekkers should be aware that
there is very little in the way of rescue organization for handling
trekker's emergencies in Nepal. If you are trekking with a reputable
trekking agency then their staff will be trained to handle most
contingencies. if you are traveling independently then you will
have to rely on your own initiative to handle any problems. This
is why trekking alone is foolhardy in the extreme.

At all times try to be aware of the location of possible
sources of help, medical clinics, police or army posts etc. Try to
find out where there are working telephones or radios as you pass
along the trails.

At all times try to be aware
of the location of possible sources of help, medical clinics, police
or army posts etc. Try to find out where there are working telephones
or radios as you pass along the trails. All trekkers should make
sure that they are covered by a suitable travel insurance policy.
This, at least, must cover the cost of a helicopter rescue, which
is the only practical way of evacuating a seriously ill or injured
patient from most of the trekking areas. It is essential to leave
details of this policy with a responsible agency in Kathmandu. Either
your trekking agency or your embassies are the obvious choices.
Registering your details and intended plans with your embassy in
Kathmandu is an extremely sensible step to take.

In the event that you do have
a problem, and that problem cannot be solved with the resources
at hand, then communications facilities must be located. Telephones
or radios can be hard to find and may be a day or more away from
the incident site. If it is possible to send a reliable person for
help make sure that a note is sent detailing the location of the
patient, the problem being experienced, specifying what help is
needed. List what actions you are going to take in the interim.
Fortunately, these days, helicopters are readily available, at a
price, from Kathmandu and Pokhara. If a message can be sent then
it is likely that a rescue can be mounted reasonably quickly.